Medicare Primary Care Incentive Payment Program

A 10 percent incentive payment is available to primary care practitioners for primary care services furnished on or after January 1, 2011, and before January 1, 2016 through the Primary Care Incentive Payment Program (PCIP). CMS has provided all contractors with a list of National Provider Identifiers (NPIs) of the primary care practitioners eligible to receive the incentive payments. A tool on the TrailBlazer website may be used to search your NPI to determine if you are eligible for the incentive. The 10 percent PCIP payment is payable to a CAH billing under the optional method for the primary care professional services of eligible primary care physicians and non-physician practitioners who have reassigned their billing rights to the CAH. Information is available on the TrailBlazer website or in CMS MLN Matters Article MM7115.